<%-- 
    Document   : divJQuery
    Created on : Oct 4, 2011, 10:16:51 PM
    Author     : Tri ben tre
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!-- Begin personal-info -->

<div id="frm-personal-info" title="Personal Information" style="font-size:12px;">
	<p class="validateTips">Please provide the information below:</p>
	<form>
	<fieldset>
		<label for="fullname"> Fullname: </label>
		<input type="text" name="fullname" id="fullname" class="text ui-widget-content ui-corner-all" value="admin"/>
		<label for="Identify">Identify card:</label>
		<input type="text" name="email" id="Identify" value="a@a.com" class="text ui-widget-content ui-corner-all" />
		<label for="dateOfBirth">Date of Birth:</label>
		</br>
                <select id="comboboxDate" name="comboboxDate" style="list-style-type:none;">
                    <option value="Jan">Jan</option>
                    <option value="Feb">Feb</option>
                    <option value="Mar">Mar</option>
                    <option value="Apr">Apr</option>
                    <option value="May">May</option>
                    <option value="Jun">Jun</option>
                    <option value="Jul">Jul</option>
                    <option value="Aug">Aug</option>
                    <option value="Sep">Sep</option>
                    <option value="Oct">Oct</option>
                    <option value="Nov">Nov</option>
                    <option value="Dec">Dec</option>
                </select>
                <select id="comboboxDay" name="comboboxDay" style="list-style-type:none;">
                    <option value="01">01</option>
                    <option value="02">02</option>
                    <option value="03">03</option>
                    <option value="04">04</option>
                    <option value="05">05</option>
                    <option value="06">06</option>
                    <option value="07">07</option>
                    <option value="08">08</option>
                    <option value="09">09</option>
                    <option value="10">10</option>
                    <option value="11">11</option>
                    <option value="12">12</option>
                    <option value="13">13</option>
                    <option value="14">14</option>
                    <option value="15">15</option>
                    <option value="16">16</option>
                    <option value="17">17</option>
                    <option value="18">18</option>
                    <option value="19">19</option>
                    <option value="20">20</option>
                    <option value="21">21</option>
                    <option value="22">22</option>
                    <option value="23">23</option>
                    <option value="24">24</option>
                    <option value="25">25</option>
                    <option value="26">26</option>
                    <option value="27">27</option>
                    <option value="28">28</option>
                    <option value="29">29</option>
                    <option value="30">30</option>
                    <option value="31">31</option>
                </select>
                <select id="comboboxYear" name="comboboxYear" style="list-style-type:none;">
                    <option value="2000">2000</option>
                    <option value="1999">1999</option>
                    <option value="1998">1998</option>
                    <option value="1997">1997</option>
                    <option value="1996">1996</option>
                    <option value="1995">1995</option>
                    <option value="1994">1994</option>
                    <option value="1993">1993</option>
                    <option value="1992">1992</option>
                    <option value="1991">1991</option>
                    <option value="1990">1990</option>
                    <option value="1989">1989</option>
                    <option value="1988">1988</option>
                    <option value="1987">1987</option>
                    <option value="1986">1986</option>
                    <option value="1985">1985</option>
                    <option value="1984">1984</option>
                    <option value="1983">1983</option>
                    <option value="1982">1982</option>
                    <option value="1981">1981</option>
                    <option value="1980">1980</option>
                    <option value="1979">1979</option>
                    <option value="1978">1978</option>
                    <option value="1977">1977</option>
                    <option value="1976">1976</option>
                    <option value="1975">1975</option>
                    <option value="1974">1974</option>
                    <option value="1973">1973</option>
                    <option value="1972">1972</option>
                    <option value="1971">1971</option>
                    <option value="1970">1970</option>
                    <option value="1969">1969</option>
                    <option value="1968">1968</option>
                    <option value="1967">1967</option>
                    <option value="1966">1966</option>
                    <option value="1965">1965</option>
                    <option value="1964">1964</option>
                    <option value="1963">1963</option>
                    <option value="1962">1962</option>
                    <option value="1961">1961</option>
                    <option value="1960">1960</option>
                    <option value="1959">1959</option>
                    <option value="1958">1958</option>
                    <option value="1957">1957</option>
                    <option value="1956">1956</option>
                    <option value="1955">1955</option>
                    <option value="1954">1954</option>
                    <option value="1953">1953</option>
                    <option value="1952">1952</option>
                    <option value="1951">1951</option>
                    <option value="1950">1950</option>
                </select>
		<div>&nbsp;</div><label for="password">Address:</label>
		<input type="text" name="address" id="address" value="129C Đao Su Tich - HCM City" class="text ui-widget-content ui-corner-all" />
                <label for="level">Level (on click for choose one):</label>
                        <div id="radio" >
                            <input type="radio" id="radio1" name="radio" /><label for="radio1" >&nbsp;&nbsp;&nbsp;Easy&nbsp;&nbsp;&nbsp;</label>
                            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="radio" id="radio2" name="radio" checked="checked" /><label for="radio2">Normal</label>
                            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="radio" id="radio3" name="radio" /><label for="radio3">&nbsp;&nbsp;&nbsp;Hard&nbsp;&nbsp;&nbsp;</label>
                        </div>
	</fieldset>
	</form>
</div>

